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1215479886
SHANA HENSLEY LILLEY
FORT DRUM, NY
NPI
1215479886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1283653)
Enumeration Date
2016-11-14
Last Update Date
2016-11-14
Business Address
-- SHANA HENSLEY LILLEY DPT
11050 MOUNT BELVEDERE BLVD RM 1535
FORT DRUM, NY 13602-5438
Phone number: 828-284-5023
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Mailing Address
-- SHANA HENSLEY LILLEY DPT
9054B BASSETT ST
FORT DRUM, NY 13603-3018
Phone number: 828-284-5023
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